Individual provider Active NPI

Jemardrais Clark, MA MFT

  • Marriage & Family Therapist
  • Avon, IN
National Provider Identifier
1972466910
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
1928 S Dan Jones Rd
Avon, IN 46123-6678
Phone
(317) 854-8265
NPI assigned
Dec 5, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IN Primary

Addresses

Primary practice location

1928 S Dan Jones Rd
Avon, IN 46123-6678

Mailing address

11745 Schmitt CT
Indianapolis, IN 46239-7806
Phone (317) 854-8265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana Be Well, Inc. CurrentSince Dec 7, 2025 Accepting new patients

Locations

1928 S Dan Jones Rd
Avon, IN 46123
Phone (317) 709-4106

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1764892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1972466910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11745 SCHMITT CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462397806",
            "telephone_number": "317-854-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 S DAN JONES RD",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461236678",
            "telephone_number": "317-854-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JEMARDRAIS",
        "name_prefix": "Mrs.",
        "credential": "MA MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-05",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.